FORM 1023-EZ for JEWELS OF DISTINCTION PARENT BOOSTER CLUB

Field Data
EIN 84-3012202
Case Number EO-2020050-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEWELS OF DISTINCTION PARENT BOOSTER CLUB
Organization’s Mailing Address 1405 BRECKENRIDGE CT
City WHITES CREEK
State TN
ZIP 37189
Accounting period End 7
Primary contact name KIMIKA THORPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELAN WILSON
PRESIDENT
111 OLD HICKORY BLVD APT 114
NASHVILLE TN 37221

Officer/Director/Trustee Two

GENOA JOHNSON
VICE PRESIDENT
905 ROSEBANK AVE
NASHVILLE TN 37206

Officer/Director/Trustee Three

LATONYA CENTURY
TREASURER
3884 PARK ROYAL LANE
ANTIOCH TN 37013

Officer/Director/Trustee Four

NIYA WISEMAN
FINANCIAL SECRETARY
1100 MARYS PLACE
LEBANON TN 37090

Officer/Director/Trustee Five

SHATIKA WHITE
RECORDING SECRETARY
5161 RICE RD APT 52
ANTIOCH TN 37013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHELAN WILSON
Signature Title PRESIDENT
Signature Date 2/17/2020

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